{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T11:42:34Z","timestamp":1792582954599,"version":"4.5.0"},"reference-count":18,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T00:00:00Z","timestamp":1792540800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T00:00:00Z","timestamp":1792540800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Surgical Oncology"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Objectives<\/jats:title>\n                    <jats:p>Oncoplastic breast surgery integrates oncologic resection with reconstructive techniques to optimize both tumor control and aesthetic outcomes. The Modified Oncoplastic Lift and Lymphatic Excision and Reconstruction (MOLLER) technique is a reconstructive approach incorporating lymphatic preservation principles while aiming to preserve breast contour. However, perioperative outcomes remain incompletely characterized.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A single\u2010center retrospective cohort study included adult women undergoing partial mastectomy or lumpectomy for malignant or benign breast conditions with the MOLLER technique (2011\u20132021). Primary outcomes were immediate and delayed postoperative complications; secondary outcomes were re\u2010excision and radiation\u2010related complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A total of 136 patients were included. Median follow\u2010up was 3 years. Immediate complications were infrequent: hematoma and wound dehiscence each occurred in 3 patients (2.2%); seroma, infection, and paresthesia each in 2 (1.5%). Delayed complications were uncommon: arm lymphedema in 5 patients (3.7%); fat necrosis and breast lymphedema each in 4 (2.9%). The re\u2010excision rate was 4.4%. Radiation\u2010related complications were uncommon, most commonly skin discoloration (7.4%) and skin thickening (5.1%); no delayed wound healing occurred.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The MOLLER technique is a safe reconstructive approach associated with low rates of postoperative complications, re\u2010excision, and lymphedema. Its lymphatic preservation principles may be associated with reduced lymphatic morbidity. Prospective studies are warranted to validate these findings.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/jso.70431","type":"journal-article","created":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T11:04:41Z","timestamp":1792580681000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Perioperative Outcomes of the Modified Oncoplastic Lift and Lymphatic Excision and Reconstruction (MOLLER) Technique in Breast Surgery"],"prefix":"10.1002","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6134-1349","authenticated-orcid":false,"given":"Anshumi","family":"Desai","sequence":"first","affiliation":[{"name":"University of Miami Miller School of Medicine Miami Florida USA"},{"name":"DeWitt Daughtry Family Department of Surgery Miami Florida USA"},{"name":"Division of Plastic and Reconstructive Surgery University of Miami Coral Gables Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4203-3890","authenticated-orcid":false,"given":"Gabriel De la Cruz","family":"Ku","sequence":"additional","affiliation":[{"name":"Universidad Cientifica del Sur Lima Peru"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6987-5030","authenticated-orcid":false,"given":"Alexis R.","family":"Narvaez\u2010Rojas","sequence":"additional","affiliation":[{"name":"Department of Oncology Hospital Militar Escuela \u201cAlejandro Davila Bola\u00f1os\u201d Managua Nicaragua"},{"name":"Department of Radiation Oncology Maimonides Cancer Center\/SUNY Downstate Health Science University Brooklyn New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter","family":"Borowsky","sequence":"additional","affiliation":[{"name":"University of Miami Miller School of Medicine Miami Florida USA"},{"name":"DeWitt Daughtry Family Department of Surgery Miami Florida USA"},{"name":"Division of Surgical Oncology University of Miami Coral Gables Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Victoria","family":"Dahl","sequence":"additional","affiliation":[{"name":"University of Miami Miller School of Medicine Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Martos","sequence":"additional","affiliation":[{"name":"University of Miami Miller School of Medicine Miami Florida USA"},{"name":"DeWitt Daughtry Family Department of Surgery Miami Florida USA"},{"name":"Division of Surgical Oncology University of Miami Coral Gables Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-2468-9363","authenticated-orcid":false,"given":"Natalia","family":"Correa","sequence":"additional","affiliation":[{"name":"General Surgery Holy Cross Hospital University of Miami Miller School of Medicine Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caiwei","family":"Zheng","sequence":"additional","affiliation":[{"name":"University of Miami Miller School of Medicine Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Ratovich","sequence":"additional","affiliation":[{"name":"University of Miami Miller School of Medicine Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ritika D.","family":"Modi","sequence":"additional","affiliation":[{"name":"University of Miami Miller School of Medicine Miami Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9262-9962","authenticated-orcid":false,"given":"Zubin","family":"Panthaki","sequence":"additional","affiliation":[{"name":"University of Miami Miller School of Medicine Miami Florida USA"},{"name":"DeWitt Daughtry Family Department of Surgery Miami Florida USA"},{"name":"Division of Plastic and Reconstructive Surgery University of Miami Coral Gables Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eli","family":"Avisar","sequence":"additional","affiliation":[{"name":"University of Miami Miller School of Medicine Miami Florida USA"},{"name":"DeWitt Daughtry Family Department of Surgery Miami Florida USA"},{"name":"Division of Surgical Oncology University of Miami Coral Gables Florida USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5273-4151","authenticated-orcid":false,"given":"Mecker G.","family":"M\u00f6ller","sequence":"additional","affiliation":[{"name":"University of Miami Miller School of Medicine Miami Florida USA"},{"name":"DeWitt Daughtry Family Department of Surgery Miami Florida USA"},{"name":"Division of Surgical Oncology University of Miami Coral Gables Florida USA"},{"name":"Department of Surgery, Section of Surgical Oncology University of Chicago Pritzker School of 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